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Randomized Controlled Trial
. 2012 Aug;32(8):580-4.
doi: 10.1038/jp.2011.159. Epub 2011 Nov 17.

Umbilical cord milking in term infants delivered by cesarean section: a randomized controlled trial

D A Erickson-Owens  1 , J S Mercer, W Oh
Affiliations
Randomized Controlled Trial

Umbilical cord milking in term infants delivered by cesarean section: a randomized controlled trial

D A Erickson-Owens et al. J Perinatol. 2012 Aug.

Abstract

Objective: The study's objective was to compare hematocrit (Hct) levels at 36 to 48 h of age in term infants delivered by cesarean section exposed to immediate cord clamping or umbilical cord milking (UCM).

Study design: In this randomized controlled trial, 24 women scheduled for elective cesarean section were randomized to either immediate clamping (<10 s) or UCM (milked × 5 by the obstetrical provider) at birth.

Result: All subjects received their allocated intervention. The milking group had a smaller placental residual blood volume (13.2±5.6 vs 19.2±5.4 ml kg(-1), P=0.01) and higher Hct levels at 36 to 48 h (57.5±6.6 vs 50.0±6.4 %, P=0.01). Five infants (42%) in the immediate group had a Hct of ≤47%, indicative of anemia.

Conclusion: UCM results in placental transfusion in term infants at the time of elective cesarean section with higher Hct levels at 36 to 48 h of age.

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